MEDICARE: DR. IRENE FOLARON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RE0101X	Endocrinology, Diabetes & Metabolism Physician	DR.0074714	CO

General Provider Information

NPI Number	:	1568451938
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. IRENE FOLARON

Provider Business Mailing Address
First Line	:	484 PONDEROSA VW
Second Line	:
City	:	MANITOU SPRINGS
State	:	CO
Zip	:	80829-5802
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2050A 2ND ST SE
Second Line	:
City	:	KIRTLAND AFB
State	:	NM
Zip	:	87117-5522
Country	:	US
Telephone Number	:	505-846-3200
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/18/2005
Last Update Date	:	10/10/2025

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Directions to “ DR. IRENE FOLARON ” Practice Location

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